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Skills

  • Data-driven decision making
  • Compliance and Risk Management
  • Escalation reduction strategies
  • Hiring and recruitment
  • Healthy meal preparation
  • Relationship building and retention
  • Drug utilization review
  • Drug inventory management
  • Leadership in healthcare account management
  • Provider diversity initiatives

Work Experiences

  • Achieved 22% target penetration in high-potential markets.
  • Achieved 33% higher operational efficiency.
  • Aligned provider training modules across all 15 in-network providers.
  • Communicated with patients while maintaining the confidentiality of their medical information.
  • Planned surgeries, handled pre-certifications, and double-checked insurance coverage.
  • Collaborated with community outreach to extend services offered by contracted providers, driving care accessibility for underserved populations by 28%.
  • Achieved compliance with CPA standards by aligning provider training modules across all 17 in-network providers.
  • Was in charge of a group of 16 pharmacy technicians.
  • Created and implemented a leadership development, coaching, and team management model that resulted in employees being promoted to higher levels of responsibility.
  • Collaborated with community outreach.

Summaries

  • Pursuing a similar position that requires a lot of focus and dedication.
  • Accomplished Director of Provider Relations with a proven track record in securing multi-year contracts with top-tier healthcare providers, saving $2 annually in procurement costs.
  • Hope to help Lakeside Partners achieve even greater success by leveraging my personal skill set and proactive demeanor.
  • A gifted individual who speaks 4 languages fluently.
  • Strengths in data analysis and project management backed up by Miscellaneous training.
  • Healthcare administrator with a track record of providing high-quality healthcare services to patients.
  • Exceptional communicator and proven problem solver.
  • Costs were consistently reduced while profits were increased.
  • Effective Pharmacy Manager with strong customer service, phone etiquette, and problem-solving abilities.
  • Director of Provider Relations is a multi-talented Director of Provider Relations who is consistently rewarded for planning and operational improvements.

Accomplishments

  • Facilitated multiple provider forums, fostering stronger relationships and increasing participation from top-tier providers by 40%.
  • Redesigned provider engagement programs, leading to a 54% increase in response rates to policy changes and updates.
  • Implemented network growth strategy, driving a 26% expansion in specialty services offered by contracted providers across Seattle.
  • Collaborated with clinical teams to improve care coordination, resulting in a 77% increase in patient care outcomes and provider satisfaction.
  • Resolved product issue through consumer testing.
  • Formulated and executed a strategic plan that increased provider network access in key underserved regions by 54%, enhancing patient outcomes.
  • Introduced data-driven approaches using Tableau, which enhanced provider data collection by 31% and improved workflow optimization.
  • Effectively managed a portfolio of 5 providers, maintaining a 76% satisfaction rate based on quarterly performance reviews.
  • Initiated a strategic provider growth project that resulted in 17% revenue growth and expansion within the past year.
  • Achieved OSHA from program, showcasing expertise in healthcare provider relations and ensuring latest industry best practices were implemented.

Affiliations

  • National Committee for Quality Assurance (NCQA)
  • Toastmasters
  • Healthcare Administrators Association
  • Association of Information Technology Professionals
  • Managed Care Executives Association
  • Association for Supply Chain Management (APICS)
  • Jaycees
  • Society of Human Resource Management
  • Society of Women Engineers
  • National Association of Managed Care Physicians (NAMCP)

Certifications

  • Certified Healthcare Financial Professional (CHFP) - 2022
  • Certified Health Insurance Network Director (CHIND)
  • Six Sigma Green Belt for Healthcare Professionals – Harbor & Co.
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Certified Medical Staff Leader (CMSL) – 2020
  • Google Certified Professional Cloud Architect
  • Certified Public Accountant
  • Certified Healthcare Provider Relations Specialist (CHPRS)
  • ServSafe
  • Apple Certified Associate (ACA)

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